Summary:

Although the Creation of Adam has been portrayed many times in the history of Western art, no other image is as enduring as Michelangelo’s fresco. Adam lays back on a barren terrain, a small piece of the newly created earth. His languid pose belies his apparent physical strength. Based on classical Greek and Roman prototypes, Adam is the ideal human male with his rippling muscles and elegant contours.

However, at this particular moment, Adam is not complete. He extends his left hand out to meet the finger of God. God hovers in the air, surrounded by angels and a billowing cloak-like form. Adam is clearly made in God’s image, as seen in God’s muscular form. God stretches out with his right hand toward Adam; He looks intently and directly at Adam, who returns the gaze with longing.

As God’s outstretched finger almost meets Adam’s more passive finger, we are poised on the brink of creation. Adam is physically alive, but here God is about to endow Adam with what makes human beings truly alive: the spirit, the soul, the intellect. All of man’s potential, physical and spiritual, is contained in this one timeless moment.

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This is a long poem, subtitled "A Poem for Three Voices," and originally written for radio broadcast. It consists of three intertwining interior monologues, contextualized by a dramatic setting: "A Maternity Ward and round about." The three women of the title are patients, and each describes a different experience.

The First Voice is a (presumably) married woman who gives birth and takes her baby home during the course of the poem. The Second, a secretary, has a miscarriage, not her first, and the Third, a college student, gives birth after an unwanted pregnancy, and gives the baby up for adoption.

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Yalom begins her examination of the breast with the following statement: "I intend to make you think about women's breasts as you never have before." This she accomplishes by organizing the nine-chapter book around the following: (1) the sacred breast, (2) the erotic breast, (3) the domestic breast, (4) the political breast, (5) the psychological breast, (6) the commercialized breast, (7) the medical breast, (8) the liberated breast, and (9) the breast in crisis. Throughout the book, which covers twenty-five thousand years, she situates breasts' meanings as dependent on particular social, political, historical, and cultural phenomena.

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This remarkable collection of essays, both personal and scientific, is written by a remarkable man, Stephen Hawking, theoretical physicist and Lucasian Professor of Mathematics at Cambridge University (a chair once held by Isaac Newton). Unlike Hawking's earlier bestseller, A Brief History of Time, which was written for the lay public to explain current theories of the universe, this book is a mix of essays, speeches, and even a radio show transcript that were originally produced from 1976 to 1992 and whose intended audiences were varied, although none of the works are purely technical.

Hawking was diagnosed with amyotrophic lateral sclerosis (ALS or Lou Gehrig's disease in the USA, motor neuron disease in the UK) at the age of 21 during his first year of graduate school at Cambridge, though he had already noticed weakness the prior year at Oxford. As he describes in "My Experience with ALS," Hawking experienced a rapid deterioration of function and hence depression.

However, during his hospitalization, he also saw a boy die of leukemia, which made him realize that things could be worse. Hawking married, finished his dissertation, fathered children, and went on to develop innovative theories in physics, such as thermal emission by black holes.

The book begins and ends with personal topics-–the first two essays concern his childhood and education, and the last is a transcript of the BBC radio show, "Desert Island Discs," in which the celebrity is asked to name and describe 8 musical selections and one book he or she would choose to have if stranded on a desert island. Hawking describes how important communication is to him, and the computer program designed by Walt Woltosz, which enables him to have an artificial voice (albeit with an American accent), since he lost his natural ability to speak due to the tracheostomy that was required in 1985. Hawking's incredible will to live and his sense of humor come through in this broadcast, as they do in the scientific curiosity so evident in the essays about physics.

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The narrator of this story, a remote third person, tells us the story of two dwarfs, Hop-Frog and Tripetta, who are ordered to help the fat king and his seven fat ministers celebrate a masquerade at court. Hop-Frog cannot tolerate alcohol, but the king forces him to drink. After the king has thrown wine in Tripetta's face, Hop-Frog sobers enough to say he'll make them all into orang-outangs for the masquerade, all the time planning his revenge for their brutality. At the masquerade he drags them up into the air and burns them alive in the costume.

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Margaret is a sculptor whose detached and unaffectionate physician-husband has just exited their marriage. Depressed, she is in dire need of work to survive and to cover the costs of urgently needed dental work. She gladly accepts a museum commission to recreate a life-sized likeness of Lucy, the Australopithecus afarensis hominid.

The plan is to reconstruct the body using casts of the fossil bones and to depict a single moment in Lucy's past, as captured by the fossilized Laetoli footprints. Made by a hominid pair, the prehistoric footprints show how the smaller creature--Lucy--hesitated in her unknown journey 3.6 million years ago.

As Margaret reassembles her ancestor and situates her plausibly in that mysterious moment, she rediscovers her own animal body, its senses, needs, and beauty--and she begins to reassemble her life.

In the end, she appears to find love and joy with a musician whom she first encounters on a purely physical basis. Yet she is comfortable with an ambiguous future.

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Perri Klass, who had already written of her medical school education (A Not Entirely Benign Procedure: Four Years as a Medical Student, see this database), took notes, made dashed journal entries, and saved sign-out sheets and other written memorabilia during her internship and residency in pediatrics at The Children’s Hospital in Boston, Massachusetts. Because she is a writer, she looked at her experiences in medical training with an eye towards what stories were happening. This book then is a compendium of stories and essays (some previously published) about Klass’s pediatrics training.

Klass reflects on the difficulties of being a writer and physician: "I have been a double parasite, not only learning off patients, but also writing about them, turning the agonies of sick children into articles, using them to point little morals either about my own development as a doctor or about the dilemmas of modern medicine." (p. 297) But she also notes the benefits of writing during training: "between life at the hospital and with my family, it seemed that all my time was spoken for, and spoken for again. I needed some corner of my life which was all my own, and that corner was writing . . . I could describe the astonishing contacts with life and death which make up everyday routine in the hospital." (p. xvii)

Part of the book concerns issues of women in medicine; Klass debunks the mystique of the "superwoman"--the professional, wife and mother rolled up into one incredible ball of efficiency and perfection--with a month of laundry spilling over the floor. Klass, as a successful writer, struggles with this label and includes an essay on her experiences with a "crazy person" who anonymously and publicly accuses her of plagiarism in the midst of the stress and responsibilities of residency.

However, most of the book is about being a new doctor--the terror, the patients, the procedures, the other doctors and staff. She writes of first nights in the Neonatal Intensive Care Unit, delivery room crises, adolescents with chronic illnesses, and her struggles as a sleep and time deprived mother.

She addresses difficult issues: moral dilemmas, suffering, loss, the rape and abuse of children, children with AIDS. Throughout the book is a concern for the patient’s experience, as well as the doctor-in-training’s experience. After her first night on call caring for very premature infants she notes: "Maybe my first patient and I have more in common than I realized: we are both too immature to be out in the world, but with a lot of help, we may just make it." (p. 15)

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Summary:

Anne Finger, a writer and disabled activist whose childhood polio left her with a disability, tells the story of her pregnancy, her birth experience at home and in the hospital, and the serious health problems her newborn son experienced.

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This poem describes the ineffable experience of

having a barium enema to answer the question, "has time betrayed you yet?" While it is summer outside, inside the room "numbers flee across / banked screens." The narrator tries not to be there, but he is. Soon he will "pass a gallon, / more or less, of latex enamel, / as blooms of cramp go on and on." He sees the barium as it moves through the compartments of his large intestine, and he reflects that "life is so common"--but not his life.

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Helen Martin is an expert on medical art. She travels by train through Europe--Vienna, Prague, and Munich--looking for her journalist husband who has vanished for a longer time than usual. Their marriage is childless and flat. On the train, she awakens to temporary but surreal changes in her body--her breasts are enormous, her thighs huge. She meets her alter ego, Rosa, an obese and aging woman doctor, and original owner of the sizable breasts and thighs.

Rosa’s gift of a strange book-like box, containing images from Vesalius, bones, vials, leads her to many other people, including a blind intellectual, a philosophical train conductor, and a soon-to-be-murdered museum curator. These people add objects to the box, while removing others and awakening her dormant senses and identity in the process.

Helen learns that her husband disappeared while researching a story about woodblocks from the great 1543 anatomical atlas by Andreas Vesalius. The woodblocks are believed to have been destroyed in the allied bombing of Munich in World War II, but Helen suspects some have survived. She picks up the work where he left it. The rediscovery of her husband--temporarily at home in Vancouver and irritated not to find her there--comes as an anti-climax. Helen realizes she does not want him any more and boards another train to we know not where.

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